NPI age
20 years
Enumerated 2006-05-05
● Active
Type 1 · Individual
Stanley J Waters, M.D., PH.D.
Waters is 1 of 71 orthopaedic surgery providers in Boise and 1 of 239 in Idaho.
Primary specialty
Orthopaedic Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-05-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 239 active orthopaedic surgery providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
0
45% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
1673 Shoreline Dr, Ste 100
Boise, ID 837026736
Mailing address
1673 Shoreline Dr, Ste 100
Boise, ID 837026736
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 000039400 | |
| 01 (ID) | 71928 | BLUE CROSS PROVIDER # |
| 01 (ID) | 000010004618 | BLUE SHIELD PROVIDER # |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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